please paraphrase this paper tobe plagiarism free! This is a class in Womens Health in a Nurse Practitioner course.

Depressive disorders, are the leading burden of diseases in the world’s list according to the World Health Organization (WHO). Depressive disorders ranks high in developed country as opposed to the developing countries. Studies have indicated that the incidences of depression are increasing despite the fact that there are increased intensive researches being carried out and treatment being given out (Ripke et al., 2013). Mental health professionals determine how well to attend to these kinds of patients and the type of treatment to recommend depending on illness symptoms and the pathophysiology in particular. Individualized care is being prioritized as psychotherapeutic approaches, and antidepressant medicines are being administered to the patients. However, while attending to depressive disorder patients, determining the type of medications that will work best can sometimes be challenging.

1- Questions to include when interviewing a patient with Depressive Disorder.

While having a one on one session with a patient with depressive disorder, a mental health professional will need to focus on a number of questions. Introducing to patient and family member, asking about present and past medical history as well as addressing family issues are important aspects to consider. It is evidenced that different people get depressed and behave in different manners. The doctor may ask on how often one has felt down, stressed or hopeless to access the period of depression. The doctor can also ask if a person has ever had any thought of suicide. The answers will enable the doctor to ascertain the severity of depression. Asking question on sleep patterns is also significant because reduced sleep by at least 2 hours or sleep disturbances is an indication of immense depression. Also, asking if one prefers being alone or doing things with other people will enable the doctor to spot on withdrawal behaviors which is a common characteristic of depression. Examples of important questions are:

· How are you feeling lately?

· How is your overall health?

· Could you let me know if you have any medical problems or allergies?

· Could you let me know your family history?

· How are you feeling at work/school?

· Are you eating and sleeping well?

· Describe a typical day

· How is your mood?

· Who do you live with?

· Do you have pets?

· Do you suffer from fatigue and lack of energy lately?

· How that affects your life?

· What do you do as exercise in a typical day?

· Tell me about your social/leisure activities?

· Do you have a sexual partner?

· How is your sexual activity?

2-Clinical findings that may be present in a patient with Depressive Disorder.

A depressive disorder is clinically manifested as DSM-IV-TR, which is a criterion for the symptoms. The main clinical presentations include emotional distress such as sadness or depressed mood and neuro vegetative symptoms, which involves lack of energy, loss of appetite and sleep, weight loss, insomnia and bipolar disorder. Neuro- vegetative symptoms differ with gender in that women are more likely to experience this symptom compared to men who are characterized by irritability. Diagnostic studies for these patients include; physical examination, lab tests, psychiatric evaluation and DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) (Uher et al., 2014). This diagnostic measure is all significant because they will determine the severity of depression and the type of medication to be recommended. Examples of symptoms of depression are:

· Fatigue

· Lack of concentration

· Lack of energy

· Insomnia

· Irritability

· Hopelessness

· Helplessness

· Poor appetite

3-Diagnostic studies that should be ordered on this patient

· CBC to rule possible anemia- will aids to assess if hemoglobin levels are in normal limits (patient is suffering fatigue and irritability)

· Thyroid Function to rule out hypothyroidism (patient is obese and has being suffering symptoms of fatigue and irritability)

· Hemoglobin A1C (close family members with history of diabetes)

4- Possible differential diagnoses for this patient

The main differential diagnosis for depressive disorder patients ate syndrome and etiologic and psychiatric. Syndrome diagnosis entails the fitting of one’s depressive symptoms with the immediate syndromes for instance if one is bereaved, then the depression will be associated with normal grief. Etiological diagnosis focuses on the cause of specific incident of depression. Causative agent for this disorder can be neurological or a substance abuse. Psychiatry diagnosis is caused by a number of comorbidity disorders such as eating, personal; sleep cognitive, anxiety and somatoform (Maughan, B., Collishaw, S., & Stringaris, A., (2013).

Major Depressive Disorder: Evidenced by anhedonia, changes in appetite, weight gain, insomnia, irritability, withdrawn, isolation, lack of energy, and screenings results.

Hypothyroidism: Evidenced by 15 lbs. gained in the midsection, mood swings, irritability, and fatigue.

Anemia: Evidenced by fatigue, lack of concentration, insomnia, tachycardia, and dyspnea.

5-Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. Please make sure that references are not older than 5 years.

For management of depressive disorder patients, an extensive range of treatment is available. Medication treatment requires a 2-12weeks therapeutic dose, the medicine is prescribed by a qualified physician and adherence are highly needed. Psychotherapy and cognitive behavior therapy can also aid in relieve of this burden. Pharmacotherapy by its own is said to be insufficient, hence when all this is combined, and patients educated on their mental health and follow-ups were made, it is proved that the likelihood of getting positive results is immeasurable (World Health Organization, 2014).

References

Maughan, B., Collishaw, S., & Stringaris, A. (2013). Depression in Childhood and Adolescence. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22(1), 35–40.

Ripke, S., Wray, N. R., Lewis, C. M., Hamilton, S. P., Weissman, M. M., Breen, G., & Heath, A. C. (2013). A mega-analysis of genome-wide association studies for major depressive disorder. Molecular psychiatry,18(4), 497-511.

Uher, R., Payne, J. L., Pavlova, B., & Perlis, R. H. (2014). Major depressive disorder in dsm‐5: implications for clinical practice and research of changes from DSM‐IV. Depression and anxiety, 31(6), 459-471.

World Health Organization. (2014). Management of Substance Abuse Unit. Global status reports on alcohol and health.

Respond

Discussion 1

While Americans are guaranteed civil liberties in our Bill of Rights, what you will come to understand is that no right is absolute. There are always limitations to our rights. These limitations exist because sometimes there are societal interests that are deemed more important than the given right in certain circumstances that need to be upheld. If we pursued the right completely it would undermine those societal interests. One heated battle over where our right to privacy begins and ends is dealing with the issue of abortion. The right for women to obtain an abortion in America has been heavily contested ever since it was interpreted as a constitutional right in Roe v. Wade (1973).

So here is the question: Do you think a right to an abortion should constitute a right to privacy or should this be restricted (if not prohibited) due to other societal interests and/or other rights that are deemed more important to uphold? Explain why you hold the position that you do, and provide at least one piece of evidence to support your position.

Discussion 2

Under our US Constitution’s 8th Amendment, citizens have the right to protections against cruel and unusual punishment. Of course, it is open for interpretation just what government punishments are considered cruel and unusual. This includes the death penalty as well as prolonged solitary confinement.

So the question is this: Do you think either the death penalty or solitary confinement are cruel and unusual punishment? Please choose only one to discuss. To help answer this question, here are some additional questions to possibly consider: What is the reason for why you find these punishments just or unjust? Are there ever any crimes that would warrant such punishments? If so, what would they be? Finally, if these punishments are to be administered, what rules should be followed to ensure these government powers aren’t abused?

INSTRUCTIONS

Each discussion should have no less than 12 sentences and no more than 20 sentences! Cite at least 1 source for each discussion. NO PLAGIARISM!

For this assignment, read the case study, The 1920 Farrow’s Bank failure: a case of managerial hubris. This case is located below (see reference below).

Hollow, M. (2014). The 1920 farrow’s bank failure: A case of managerial hubris? Journal of Management History, 20(2), 164-

178.

Thomas Farrow had been evaluated as having been inflicted by managerial hubris at the time of the bank’s collapse in 1920.

With this in mind, address the following questions, with thorough explanations and well-supported rationale.

1. How did corporate culture, leadership, power and motivation affect Thomas’ level of managerial hubris?

2. Relate managerial hubris to ethical decision making and the overall impact on the business environment.

3. Explain the pressures associated with ethical decision making at Farrows Bank.

4. Evaluate whether the level of managerial hubris would have been decreased if Farrow Bank had a truly ethical business culture. Could this have affected the final outcome of Farrow Bank? Explain your position.

Your response should be a minimum of three double- spaced pages. References should include your required reading, case study reference plus a minimum of one additional credible reference. All sources used must be referenced; paraphrased and quoted material must have accompanying citations, and cited per APA guidelines.

Assignment Overview

To demonstrate your ability to contribute to professional dialogue through your use of reflective commentary, you will be required to comment on several assigned articles and/or videos that present marketing–related material. Your task is to use your previously gained experiences as well as knowledge acquired from your courses to add to the dialogue from the perspective of your industry, your organization, your position, and/or your personal/professional experiences in order to contribute to the discussion of various marketing yourself aspects of the presented material. You will do this via both an original Comment (6 points) and a Reply to someone else’s comment or reply (4 points).

When writing your comments/replies, remember that you are representing your own personal/professional brand and, in essence, marketing yourself. Portray yourself as a professional in all interactions. Do NOT repeat the question prior to answering. Do NOT reference the course/classor refer to an “instructor” or “professor” because this may cause other readers to discount yourexpertise due to what will then be perceived as your “student” status. Remember that your brand is a professional one. All comments and replies should be of a positive nature and should be thoughtful, intelligent, and, when possible, incorporate concepts learned in the course. Disagreeing with the author/presenter is fine butdo so amiably and always on a professional level.

If you decide to share the article/video via social media (LinkedIn, Twitter, Facebook, etc.) to showcase your expert commentary, it would be best to share the article/video immediately after you make your comment so that your particular comment(s) will be more accessible at the time of sharing (rather than buried below other comments). You also might decide to use your comment on the assigned article/video toconnect (professionally) with other individuals by referringto their articles, videos, websites, etc. You can do this by mentioning their name or username (as a hyperlink in that platform) in hopes that they will be notified and thus see your comment, and/or you can simply copy and paste your comment into an email message and let them know directly that you mentioned them and felt compelled to promote their work. Previous students who have used this technique have been able to connect with top corporate executives, authors, popular speakers, and even some mid–level celebrities.

Your comments can be formal or casual butuse proper spelling and grammar as appropriate. Remember, you arerepresenting your own personal/professional brand.

Article/Video Topics

You will have to comment (and reply to a comment) for each of the following five short articles and videos. You do not need to be an expert on any of the topics butuse your common sense and personal/professional experiences to add to the professional dialogue.

•For PCA–1, view “Perception vs. Reality” on YouTube at

•For PCA–2, view “Master the Art of Conversation: How to Disagree Respectfully” on YouTube at

•For PCA–3, read “Facebook’s Sheryl Sandberg Says that You Don’t Have a PersonalBrand. Well, Do You?” on LinkedInator view it on YouTubeat

•For PCA–4, view “Using the Stages of Change (Transtheoretical) Model” on YouTubeat•For PCA–5, read “Customer Lifetime Value” on LinkedIn athttp://bit.ly/GuessCLV

As you watch/read each video/article, consider how they could apply to your process of building and managing your professional brand.

Instructions –Part One: The CommentFor each of the videos/articles, use your YouTube account (for videos) or LinkedIn account (for articles) to provide professional commentary by writing two to four complete, compelling, grammatically correct sentences, using one of the questions below as aguide(do notuse the question word–for–word, but only as a guide). Note:for each video/article, you must use a different question as the guide for yourcomment.

1.Which part of the video/article resonated most with you (or you most connected with) and how could you use that information or concept in your professionallife?

2.What concept or idea from the video/article have you experienced in the past and whatwas your experience?

3.Which point of the video/article did you agree with the most, and why?

4.What is a “hidden gem” or something that few would notice in the video/article, that youfind to be noteworthy/critical/game–changing/enlightening/etc., and why?

5.What is an addition that you could offer to extend the concepts discussed in thevideo/article?

6.Howdoes or could the material in this video/article (or some portion of it) apply toyour industryor field or jobposition?

7.How could the material presented in this video/article inspire or influence you or someone else to change your approachto marketing, sales, personal branding, or behavioralchange?

8.What is an aspect of this video/article that gives you a different perspective on some aspectof marketing, sales, personal branding, and/or behavioral change?

9.Which point(s) of this video/article have you not considered before, and how could itchange your thinking about thetopic?

After you have made your comment, be sure to take a legiblescreenshot of the entire comment for later submission in the Assignment Dropbox.

Instructions –Part Two: The ReplyFor each of the videos/articles, you also will be required to reply to another person’s comment (or another person’s reply to a comment) in a manner that furthers the professional contribution of the idea or thread portrayed in the comment/reply. Remember, your replies also should be of a positive nature and should be thoughtful, intelligent, and, when possible, incorporate concepts learned in the course and from your experiences. Your goal should be to addto the professional dialogue. After you have made your reply, be sure to take a legible screenshot of the entire reply for later submission in the Assignment Dropbox.

Instructions –Part Three: Submit in Assignment DropboxComplete the following in a document and then save it as a single PDF:

1.StudentName

2.YouTube UserName

3.LinkedIn UserName

4.For each of the five PCAs, include thefollowing:

a.Which guide question did you use while formulating your comment for this articleor video? (Write the number and the text of the question, not just the numberplease.)

b.Screenshot of the entire comment. Import/embed the screenshot of the comment asan image in the document. Be sure that you size the screenshot large enough that the comment can be readeasily.

c.Screenshot of reply (note that reply screenshot also must include the referenced comment and/or reply for context in grading). Import/embed the screenshot of the reply as an image in the document. Be sure that you size the screenshot large enough that the reply can be readeasily.d.Save the final document as PCA–YourName and then upload it to the appropriate Assignment Dropboxlink

.5.Be sure to subscribe to the YouTube channels and connect with or follow the LinkedInauthors so that you can follow any dialogue that is inspired by your comments andreplies.

Remember that this activity serves not only as an assignment, but as an opportunity to market your expertise to your connections.

Minimum 250 word discussion answer to the following:

Write in 3rd person

One reference required

___

When tension within a system reaches an intolerable level, triangles may form to manage the tension between system members. The tension could be between a spouse or partner, between a parent and child, or between a child and another child. From the natural systems perspective, use the unit readings to think about a family conflict and use it as an example to illustrate your post as you complete the following:

• Define the concept of triangles in human relationships.
• Describe how a triangle develops to reduce the tension.
• Explain how the development of triangles might complicate the problem.
• Describe briefly Murray Bowen’s contribution to the development of natural family systems theory.